You can use NCCI-associated modifiers with this PTP code pair when appropriate. Many times the code pair edit simply represents two codes that should not be reported together. Medicare NCCI Policy Manual | CMS https:// CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Type II - A Type II add-on code does not have a specific list of primary procedure codes. In the Correct Coding Modifier Indicators (CCMIs) column, the indicator 0, 1, or 9 shows whether an NCCI PTP-associated modifier allows the PTP code pair to bypass the edit. Medicare NCCI Policy Manual (Complete Document) (ZIP), Effective Jan. 1, 2023 You can open or view the tables as either a plain text file, or a Microsoft Excel spreadsheet. The names of the Hospital PTP Edits or Practitioner PTP Edits show the code range of edits listed in the table, beginning with the first Column 1 or Column 2 code edit in the file and ending with the last Column 1 or Column 2 code edit in the file. Figure 10 shows the filter options that appear on the right side of the page when you choose the Filter data button on the Dataset page. Users must adhere to CMS Information Security Policies, Standards, and Procedures. var url = document.URL; https:// Removing Select All default setting shows Column 2 selected and a sort for 99215 you choose by clicking on the box beside this code. Your first step in looking up an edit is to choose the PTP Coding Edits link in the menu on the left side of the National Correct Coding Initiative Edits webpage on the CMS webpage. Column A titled HCPCS/CPT Code shows codes with an MUE value. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, National Correct Coding Initiative (NCCI), Introduction for National Correct Coding Initiative Policy Manual for Medicare Services (PDF), Chapter 1 - General Correct Coding Policies (PDF), Chapter 2 - Anesthesia Services Current Procedural Terminology CPT Codes 00000-01999 (PDF), Chapter 3 - Surgery: Integumentary System CPT Codes 10000-19999 (PDF), Chapter 4 - Surgery: Musculoskeletal System CPT Codes 20000-29999 (PDF), Chapter 5 - Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems CPT Codes 30000-39999 (PDF), Chapter 6 - Surgery: Digestive System CPT Codes 40000-49999 (PDF), Chapter 7 - Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems CPT Codes 50000-59999 (PDF), Chapter 8 - Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, and Auditory Systems CPT Codes 60000-69999 (PDF), Chapter 9 - Radiology Services CPT Codes 70000-79999 (PDF), Chapter 10 - Pathology/Laboratory Services CPT Codes 80000-89999 (PDF), Chapter 11 - Medicine, Evaluation and Management Services CPT Codes 90000-99999 (PDF), Chapter 12 - Supplemental Services HCPCS Level II Codes A0000-V9999 (PDF), Chapter 13 - Category III Codes CPT Codes 0001T-0999T (PDF), Help with File Formats on the guidance repository, except to establish historical facts. nature of service or prescribing information, which is combined with data to indicate it is possible but highly medically unlikely that higher values would represent correctly reported medically necessary services. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Inquiries about a specific claim or how to submit an appeal should be addressed to the Medicare Administrative Contractor (MAC). From the new page, then select Download filtered view (CSV) link under the Access heading. and Plug-Ins. The Change Request (CR) lists the Type 1 AOCs with their acceptable primary procedure codes. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. CMS made the decision to retain the edits that were in effect prior to January 1, 2020, and to delete January 1, 2020, PTP edits for Current Procedural Terminology (CPT) code pairs 97530 or 97150/97161, 97530 or 97150/97162, 97530 or 97150/97163, 97530 or 97150/97165, 97530 or 97150/97166, 97530 or 97150/97167, 97530 or 97150/97169, 97530 or 97150/97170, 97530 or 97150/97171, and 97530 or 97150/97172. There are times the column two code is a component of a more comprehensive column one code. CMS developed the coding policies based on coding principals defined in the American Medical Association's (AMA's) CPT Manual, through national and local policies and edits, and through coding guidelines developed by: These edits are prepay edits that are applied automatically to claims based on the specific coding listed on the claim. The purpose of the NCCI PTP edits is to prevent improper payment when incorrect code combinations are reported. The public or confidential status of MUEs may change. The codes can be CPT or HCPCS Level II codes. This figure shows the options that appear at the top of the Add Filters column. NCCI for Medicare | CMS 2. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. To reduce the amount of claims denied for sex procedure edits, use the KX modifier to show services for transgender, ambiguous genitalia, and hermaphrodite patients. The tables contain pairs of HCPCS/CPT codes that should not typically be reported together. End users do not act for or on behalf of the CMS. CMS has now added the ability for manual therapy (97140) to be billed on the same day as the multi-layer compression system codes 29581 (LE compression foot to knee), 29582 (LE compression foot to thigh), 29583 (UE compression, upper arm/forearm) and 29584 (UE compression, fingers to upper arm). If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. Examples of modifiers used to indicate a separate procedure, different organ or anatomic clarity are (not all-inclusive list): Note: Modifier 59 should not be appended to an evaluation and management (E/M) service. A guide to Medicare's National Correct Coding Initiative (NCCI) edits You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Medicare Diabetes Prevention Program (MDPP), Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Independent Diagnostic Testing Facility (IDTF), Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services, Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, National Correct Coding Initiative Edits (NCCI), NCCI General Correspondence Language and Section-specific Examples (for NCCI Procedure to Procedure (PTP) Edits and MUEs, CMS Quarterly NCCI and MUE Version Update Changes, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, 0: Codes should never be reported together by the same provider for the same beneficiary on the same date of service; if reported on the same date of service, the column one code is eligible for payment and the column two code is denied, 1: Codes may be reported together only in defined circumstances by use of NCCI-associated modifier, Standard Preparation/Monitoring Services for Anesthesia, Anesthesia services require certain services to prepare patient prior to administration of anesthesia and to monitor patient during course of anesthesia, All services described by HCPCS/CPT code must be performed, CPT Manual or CMS Manual Coding Instruction, CMS issues coding instructions and guidelines in its manuals, program memoranda and other publications, Certain services or procedures would not reasonably be performed at the same session by the same provider on the same beneficiary, Less extensive procedure fails and requires performance of a more extensive procedure, "Separate procedure" should not be reported when performed along with another procedure in anatomically-related region through same skin incision or surgical approach, HCPCS/CPT codes corresponding to more extensive procedures always include HCPCS/CPT corresponding to less complex procedures, Some HCCPS/CPT code descriptors are designated to be reported for male or female, Many procedures typically necessary to complete more comprehensive procedure are assigned independent HCPCS/CPT codes because they may be performed independently in other settings, Anesthesia Service Included in Surgical Procedure, HCPCS/CPT codes describing anesthesia services or services bundled into anesthesia services should not be reported in addition to surgical procedure requiring the anesthesia service, HCPCS/CPT codes identifying individual tests included in laboratory panels should not be reported separately, Based on input from many sources, some edits are deleted, Misuse of Column Two Code with Column One Code, Physician or non-physician provider must perform all services noted in the descriptor unless descriptor states otherwise, Values set based on anatomic considerations, HCPCS/CPT code descriptors, coding instructions, CMS policies, nature of service and clinical judgement. Claims processing contractors must adopt edits to assure that Type I add-on codes are never paid unless a listed primary procedure code is also paid. CMS DISCLAIMER. Google Sheets: Online Spreadsheet Editor | Google Workspace Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. your browser to improve your experience. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. There is no active edit for this PTP code pair. CMS National Correct Coding Initiative Edits | Guidance Portal - HHS.gov Secure .gov websites use HTTPSA Links to MUE tables for the current and previous quarter are available. #1 Does anyone know how to get to the NCCI edit tool on the CMS website? Posted Dec. 1, 2022 CMS updates the NCCI Policy Manual for Medicare Services once a year. BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. website belongs to an official government organization in the United States. The CR lists the Type 2 AOCs without any primary procedure codes. The Centers for Medicare & Medicaid Services (CMS) implemented this initiative in 1996 to promote correct coding of Medicare services and reduce improper payments. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Share them with others and work together at the same time. To download the complete edit file as an CSV/TEXT file, click the file name from the list of Complete Medicaid NCCI Edit Files. Each edit has a column one and column two HCPCS/CPT code. MAI 3 indicates a value adjudicated by claims processing systems at the date of service level. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. Use of an Advance Beneficiary Notice of Noncoverage (ABN) is not appropriate for NCCI situations. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. and Plug-Ins. CMS updates MUE tables at least quarterly, so you must use the most current information. Last Updated Tue, 25 Apr 2023 17:20:44 +0000. National Council on Compensation Insurance (NCCI) Official websites use .govA Column B titled Practitioner Services MUE Values shows the maximum UOS that you would report under most circumstances for a single patient on a single date of service. The NCCI Data Collection Proce dures (DCP) Su bcommittee is a subcommittee of the NCCI Actuarial Committee. An Add filters column will appear on the right side of the page as shown in Figure 9. LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). You should only report services that are medically reasonable and necessary. The fastest and most accurate way you can search any of the edit tables for a particular value is by using the Excel Filter feature. If the files dont automatically unzip, you may need the correct software to unzip these files. AMA Disclaimer of Warranties and Liabilities License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. When Excel prepares the list of values in each column, it automatically lists the values in ascending alphanumeric order. Previous MUE Edits can be found in the Medicaid MUE Archive. 1, 2023 Medicare NCCI Procedure to Procedure (PTP) Edits National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits prevent inappropriate payment of services that should not be reported together. NCCI Edits Version 27.3 Effective October 1, 2021 You can use the Microsoft Excel filter tool to easily search for all instances of 99215 in Column 1 in the table. The MUE tables are in compressed zipped files. Each zip file contains both text and Excel file(s) formats. What are NCCI Procedure-to-Procedure (PTP) code pair edits? Providers may also bill one unit per line with the appropriate modifier on all lines accept the first line. and Plug-Ins. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. Select Accept to agree to the AMA terms and conditions. Before NCCI implements new or changes an existing MUEs, NCCI submits the proposed edits for review and comments to the: MUEs are developed based on the reasonable practice for procedures and coding guidelines. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. This figure shows the Download filtered view (CSV) link highlighted under the Access heading. Units billed in excess of the MUE value for HCPCS/CPT codes with a MAI are 2' or 3' will automatically deny with or without an appropriate modifier. Claims processing contractors are encouraged to develop their own lists of additional primary procedure codes for this group of add-on codes. On the Medicare Physician Fee Schedule Database, an AOC generally has a global surgery period of ZZZ., In theCPT Manualan add-on code is designated by the symbol +. The code descriptor of an AOC generally includes phrases such as each additional or (List separately in addition to primary procedure)., An official website of the United States government, National Correct Coding Initiative (NCCI), Add-On Code Edits Implementation for Medicare Effective 07012023 (ZIP), Add-On Code Edits Implementation for Medicare Effective 01012023 (ZIP), Help with File Formats The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The unit changes could be an increase or a decrease in the number of services allowed for the code. CDT is a trademark of the ADA. Figure 1 shows the screen after selecting PTP Coding Edits. Official websites use .govA CMS may post quarterly updates on April 1, July 1, and Oct. 1 of each year. To download each edit file, just select the link listed below. Please upgrade Column A shows the payable (Column 1) code. But, if both codes are clinically appropriate and you use an appropriate NCCI-associated modifier, the codes in both columns are eligible for payment. Column C titled MUE Adjudication Indicator (MAI) describes the level of adjudication of the MUE. This figure shows the top of the NCCI Procedure to Procedure (PTP) Edits Quarter Beginning 04/01/2022 webpage. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. It is important to only report the number of services that were reasonable and necessary as medical reviews could be done if it appears as though MUEs are being abused. The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The different types of NCCI edits Outpatient rehab therapists should be aware of the various types of NCCI edits. In the figures below, our example uses the Filter to search for instances of CPT code 99215 in Column 2 of the Practitioner PTP Edits Table 1. To download data as an Excel file, follow the links on this page to navigate to your file. NCCI edits flag claims that would create this sort of overpayment. By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. Select the dropdown arrow in Column 2. Figure 3 shows you how to begin filtering. These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). The Column 1/Column 2 Correct Coding edit tables contain PTP code pairs. Easily edit Microsoft Excel spreadsheets online without converting them, and layer on Sheets' enhanced collaborative and assistive features like comments, action items, and Smart Fill. Open the file in Excel format (.xlsx). (Announcement posted October 1, 2021), Replacement Files (1st quarter of 2021) - CMS issued replacement files for NCCI Medically Unlikely Edits (MUEs) for the January 1, 2021 files. Complete the assessment quiz contained in this resource book. If you scroll to the bottom of the PTP Coding Edits page and click on Help with File Formats and Plug-Ins, you can download free software. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. NCCI ASCII Data Files - AAPC In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Figure 4 shows Column 2 selected and a sort for 99215 you choose by clicking on the box beside this code. You shouldnt report mutually exclusive procedures at the same anatomic site or same patient encounter. 5. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. what do CCI edits mean?? | Medical Billing and Coding Forum - AAPC When the column two code has a modifier indicator of "0" or "9" the column two code is not eligible for payment. E.g., Providers should not report a vaginal hysterectomy code and total abdominal hysterectomy code together and the modifier indicator for the example is "0", not allowed. Sign up to get the latest information about your choice of CMS topics. Secure .gov websites use HTTPSA CMS posts the complete updated Medicaid National Correct Coding Initiative (NCCI) edit files for the public on this page at the beginning of each calendar quarter. Like the Type I add-on codes, a Type III add-on code is eligible for payment if an acceptable primary procedure code as determined by the claims processing contractor is also eligible for payment to the same practitioner for the same patient on the same date of service. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, National Correct Coding Initiative (NCCI), Regional Information Sharing System portal (RISSNET), 2023 Q3NCCI PTP Edits - Practitioner Services, 2023 Q3NCCI PTP Edits - Outpatient Hospital Services, 2023 Q3NCCI PTP Edits - Durable Medical Equipment Services, 2023 Q3NCCI MUE Edits - Practitioner Services, 2023 Q3NCCI MUE Edits - Outpatient Hospital Services, 2023 Q3NCCI MUE Edits - Durable Medical Equipment Services, Help with File Formats Claims processing contractors are encouraged to develop their own lists of primary procedure codes for this type of AOC. The NCCI contains one table of edits for physicians/practitioners and one table of edits for outpatient hospital services. The CMS annually updates the NCCI Coding Policy Manual for Medicare Services. To download the complete edit file, save the zip file to your computer and extract the text and Excel file(s). Additions/revisions to the manual are noted in red font. E.g. ( This includes appeals of NCCI-related claim denials. For example, a provider should not report skilled nursing facility evaluation and management service 99304 (Initial Nursing Facility Care, per day) and 99307 (Subsequent Nursing Facility Care, per day) together on the same day for the same patient by the same practitioner. MAIs of 3' are based on criteria, e.g. The AMA is a third-party beneficiary to this license. Additions and revisions to the manual are noted in red font. Save it for your records. Column C shows the edit status before 1996. The NCCI PTP edits are divided into two provider types: PTP edits - Practitioner are applied to claims submitted by physical therapists in private practice, as well as by other nonphysician practitioners and physicians, and by ambulatory surgery centers. (The Filtering the PTP Data Tables section at the end of this booklet gives instructions for using the filter tool in Microsoft Excel.). License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Column name (Quarter Begin Date, Category, Column One, Column Two, Effective Date, Deletion Date, Modifier Indicator, and PTP Edit Rationale), Wording (This depends on the column name you choose. You can only report 1 code of the 2 organ repair codes in a code pair. Please refer to the Introduction of this Manual for additional guidance about its use. Announcements Effective Jan. 1, 2022, CMS implemented a new format for the Add-on Code edit file. 0001A/0591T-25999/96523 (or similar range), you'll see that 99215 isn't payable with 01462, Anesthesia for all. All Rights Reserved. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. The Centers for Medicare & Medicaid Services (CMS) owns the NCCI program and is responsible for all decisions regarding its contents. Updated public replacement files for Medicare are available using the links in the left navigation pane. (The Modifier Indicator Table, shown on page 11 of this booklet, gives more explanation. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. If you filter Microsoft Excel for 99215 in Column 2 of the Practitioner PTP Edits Table containing edits from 0001A/0591T1-25999/96523 (or similar range), youll see that 99215 isnt payable with 01462, Anesthesia for all closed procedures on lower leg, ankle, and foot. Make sure your supporting documentation is in the patients medical record. means youve safely connected to the .gov website. Click the link of the PTP table you want to review. LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). If youre using an earlier version of Excel or another spreadsheet program, the Filter function might work differently. MUE tables for Practitioner Services, Facility Outpatient Hospital Services, and DME Supplier Services in the Downloads section. When an outpatient claim is processed, the submitted procedures are analyzed to determine if they comply with the MUE policy. Column 1 CPT codes, which end with letters M, U, or T, appear in the first table for both Hospital PTP Edits and Practitioner PTP Edits. Please make the 2023 Q1 Edits Files until CMS posts the 2023 Q3 Edit Files. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Note: The information obtained from this Noridian website application is as current as possible. Examples of appropriate modifiers may be: An MAI of 2 or 3 indicates the edit is a date of service MUE. PTP edits The PTP edits are automated prepayment edits that prevent improper payment when you report certain codes together on the same date of service for the same patient and provider. This figure shows the Display density links. This page provides links to NCCI Edit files, where you can filter, sort, share, and download the files. But CMS considers some MUEs confidential, and they arent released. DISCLAIMER: The contents of this database lack the force and effect of law, except as Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. End Users do not act for or on behalf of the CMS. Remember to replace the NCCI tables quarterly and save the tables with the most current information. NCCI Edits | AOTA To file an appeal, please follow instructions on the. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Email: NCCIPTPMUE@cms.hhs.gov. A revised annual version of the National Correct Coding Initiative Policy Manual for Medicare Services, effective January 1, 2022, was posted December 15, 2021. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Access to this feature is available in the following products: NCCI Edits & Validator Find-A-Code Professional Find-A-Code Facility Base DISCLAIMER: Our edits are taken directly from published government sources. The data set contains edit additions and deletions and their dates. Medicare Part B NCCI Edits Effective Jan 1st 2022 - SNF Therapy Update
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